Custom Product Order Form

Design Placement
What side(s) do you want your design on? *
Do you want a different design on the front and back?

Same design on front & back 2 different designs

Artwork
Design Name: *
Upload Your Image (front)

Browse Files

Cancel of
Upload Your Image (back)

Browse Files

Cancel of
Upload Your Image (Front)

Browse Files

Cancel of
Upload Your Image (Back)

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Cancel of
Upload Your Image

Browse Files

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What Text Do You Want Engraved On The Bracelets?
Leave blank if you don't want a logo engraved
Specific fonts, styles etc? (Optional)

Product Options
What Kind Of Battery Pack Do You Want? *
Wireless Lighting Options *
Wired Battery Lighting Options *
How Do You Want The Shirt To Light Up? *
How do you want the panel attached to the t-shirt? *
What color LED Bracelets do you want? *
What Size Light Up Poster(s) Do You Want? *
Tell us the dimensions
How do you want the poster to light up? *

Automatic animating light sequence Sound Activated On/ Off
What kind of Inverter Connection Do You Want? *
Panel Add Ons

Add Velcro to the back of the panels +$1.00 Add Lanyards + $3.50

Choose Your Sizes

Colors & QTY ( Minimum of 50 pcs per color)

	Blue	Green	Red	Pink	White	Yellow	Orange
QTY

Contact Information
First Name *
Last Name *
Company (optional)
Email *
example@example.com
Phone Number
Shipping Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Deadline Date (Optional)

Month Day Year
Date
Are you interested in any other products? ( Check all that apply)

LED T-shirts LED Bracelets Light Up Panels Light Up Poster(s)
Comments/Notes
What is it for? *
Should be Empty: